Discover and read the best of Twitter Threads about #HarmReduction

Most recents (24)

Want a feel for how extensive, entrenched and structured the hatred in America is for our tens of millions of drug users? Take this #ThoughtExperiment with me....

#Stigma #PWUD #PWID #DrugUse #HumanRights #PublicHealth
#HarmReduction #NormalizeHR #SafeSupply #SCS #SIF

1/
IMAGINE for a moment that you woke up tomorrow to the news that the entire retail #alcohol supply in the #US was randomly contaminated with deadly levels of #fentanyl. A one ounce shot could put you into respiratory arrest in 120 seconds, quickly followed by cardiac arrest.

2/
The proper administration of #NARCAN within minutes or #RescueBreathing is your only hope for survival; #911 and #EMS can’t get there that fast.

Now IMAGINE for a moment what the governmental and civil society response would be to this news...

3/
Read 12 tweets
Na klar, der geneigte BILD-Leser glaubt das sicher, weil ihm i.d.R. Hintergrundwissen fehlt und auch selten hinterfragt.
@DaniLudwigMdB sollte es besser wissen, sonnt sich aber lieber in einem vermeintlichen Erfolg... 2/x
Der ist für kriminelle Organisationen höchstens ärgerlich. Denn diese Leute sind Profis und kennen sich aus im Geschäft mit Schmuggel, Handel, Bestechung, Geldwäsche und Gewalt.
Ein Bust verschiebt allerhöchstens Grenzen in kriminellen Hierarchien. Alltag... 3/x
Read 6 tweets
Thanks @UTMBFamilyMed for inviting me to present Grand Rounds today! I'm going to share a few pearls for other interested folks in #FamilyMedicine, #TwitteRx, & beyond.

A long but extremely visual🧵🧵🧵
To understand the "opioid crisis", you have to accept that the first wave was driven by excessive prescribing. BUT you also have to accept that reactionary supply reduction interventions drove a totally preventable second wave of deaths due to heroin.
In order to help the people who are actually dying today, you must recognize that deaths to Rx opioids accounted for fewer than ⅓ of all opioid overdose deaths, and that proportion is shrinking every year.
Read 29 tweets
1/ Q: There's inevitably going to be some socializing this summer. How do I stay safe? How do I tell my kids and my parents to stay #safe?

A: #StaySMART!
2/ Wow, these are some unusual times! Some of us are in the streets every day with large groups, some of us haven't left our homes in months.

Help!?!? How can we socialize while keeping ourselves and others safe from #COVIDー19?
3/ The Dear Pandemic Nerdy Girls are delighted to partner with @IMPACT4HC to offer this handy infographic to help you remember 5 simple rules of thumb for reducing your #COVID19 transmission risk: Stay SMART!

S: SPACE -- Keep your #socialdistance, 6ft. or more!
Read 8 tweets
The #Alberta #UCP attack on supervised consumption services and #HarmReduction resumed yet again yesterday during the #ABLeg Question Period.

@jasonluan88 serves up another batch of canned messages and word salad.

Start video at 1:21:20 👇👇

(THREAD)

assemblyonline.assembly.ab.ca/Harmony/en/Pow…
The scripted lobbing of questions from #RedDeer MLA Jason Stephan (so many Jasons) serves to reintroduce the now-infamous #SCSReview panel report.

You know, that one that was based on zero scientific analysis?

From the panel with zero experience working in or using an SCS?
Here’s criminologist @dr_jdlivingston breaking down significant flaws in the so-called robust SCS Review Report.
Read 8 tweets
Here @jasonluan88 responds to arguments for #safesupply brought forward by advocates on social & mainstream media, but it appears that he needs help with understanding and interpretation of the arguments and data in support of safe supply.
Thread: 1/
#Abpoli #Ableg
In the headline @jasonluan88 continues to use stigmatizing language with the word “addict”. People who use drugs are people first!
Stigma causes people to to use and die alone.

Here are helpful resources on stigma for the minsiter.

#ableg #abpoli
2/
canada.ca/en/health-cana…
A person with lived and living experience is free to chose how they self-identify, but unless @jasonluan88 has lived experience he should stick to #PersonFirstLanuage
#Abpoli #Ableg
3/
Read 17 tweets
I'm fascinated by how we can leverage evidence to inform behavior change. A thread based on literature & our #design of spaces & processes in high-stakes environments @AdvPerformHD @HumanFact0rz @ASPphysician @jyangstar 1/
2/ After the wkd, its clear some in Ontario are experiencing quarantine fatigue (bit.ly/2TFbbRw). Below are thoughts combining work from change management (amzn.to/3c2qWbx), behavior psych (bit.ly/3d0yIUp), risk perception (Kahneman) & #harmreduction
3/ Current state = #publichealth experts tell us that we cannot return to our previous way of life despite many who wish to do so. RESULT = need for substantial behaviour change. CHALLENGE = people don't like to change. #default & familiar behaviour is preferred
Read 17 tweets
1/ Improper face mask use can be harmful.

How to wear a face mask properly, a thread
2/ Whether or not there is a consensus on the preventative effect of a face mask on COVID-19 transmission, face mask have become common place in public and many people use them inappropriately. As such, let me use a #harmreduction lens, to provide instructions on proper mask use.
3/ Why a harm reduction lens. A harm reduction lens acknowledges that people ARE wearing mask, people need honest, non-judgmental, information on the potential harms and benefits of mask wearing. I’ll do this in 3 sections: The Facts; The Masks; and Best Practices
Read 15 tweets
🔥🔥OPEN LETTER to @govbc

Re: “Twelve Points for Action to Prevent and Manage #COVID19 for People who are Homeless/At Risk of Homelessness and People who use Drugs”

@adriandix @DarcyJudy @BC_Housing @ShaneLSimpson

#bcpoli #harmreduction
1. Handwashing stations immediately needed in public locations.

Today there were over 150 people on Pandora avenue in #Victoria; how are we prioritizing hand washing without access to clean water and sinks?
2. Immediately identify spaces for homeless and unstable housed people to stay at home and to self-isolate when symptomatic.

HOUSING IS FRONTLINE PROTECTION. ✅
Read 16 tweets
I’m no virologist but I’m a drug scientist so here are my expert recommendations regarding COVID-19 and substance use. (1/11)

#COVID #coronavirus #COVID19US #drugs #alcohol #drinking #cannabiscoronavirus #ecigs #vaping #coffee #psychedelics #QuarentineLife #harmreduction
Your immune system and behavior not only affect you – they play a vital role in making sure our entire species is able to successfully battle this virus and minimize the number of deaths, because you are a potential vector for transmission. (2/11)
If you've been thinking you need to stop your heavy use of a substance, now is a critical time to claim your birthright as a human and gain full agency over your choices. Regardless of your use level, here're some pointers regarding substance use during this pandemic: (3/11)
Read 11 tweets
(THREAD) Now that I’ve taken a moment to process this horrific news, I’d like to discuss the impacts and precedence around this malicious decision.
#AbLeg #ABpoli
Injectable Opioid Agonist Therapy, or #iOAT, is a form of medication assisted therapy (MAT) for people with severe opioid use disorder.

To qualify, you must have already trialed oral MAT without positive outcomes.

That makes this group among the most at-risk.
People who access iOAT have among the highest retention rates for treatments, much higher than oral MAT and abstinence based services.

This means people who get on to the program adhere to the program. This stability greatly improves quality of life.
Read 14 tweets
So, I am at @UIHealth with my Black friend, a Black trans person. They are visiting someone who is in the hospital. While they’re standing in the hospital room, another visitor enters the room and punches them in the face. This person doesn’t say anything. [1]
They don’t greet them. Nothing. They just punch them.

I go directly to the charge nurse a woman named Isabel and I tell her what’s happened. [2]
She goes to the room at @UIHealth, asks my friend if someone has hit them, they say yes, she asks who, they point to the person, she paces back to me, and then gets on the phone. [3]
Read 13 tweets
Hear ye, hear ye!

Ye old #Alberta government has released its FLAWED, and GASLIT #SCS review report.

Associate Minister @jasonluan88 promised an unbiased perspective.

The only ones who look stupid here, are those of us who believed him.
#AbLeg

open.alberta.ca/publications/9…
Before we dive into the report, let’s talk about the Associate Minister and his esteemed panel for a moment.

Not a single member who has worked at or accessed an SCS; surely criminologists and retired cops will present an unbiased approach. 😒

alberta.ca/supervised-con…
Next, let’s see what the Ass. Minister has had to say about SCS and #harmreduction.

Surely his beliefs about Big Pharma funding research for harm reduction, and that #naloxone is an enabler couldn’t have impacted the committees viewpoints?
Read 24 tweets
(THREAD) How to kill a life-saving public health intervention to the roar of thunderous applause.

The #UCP guidebook to gaslighting, misdirection, and nepotism.
#ABLeg #ABpoli
The @jkenney show was something to behold today—amidst announcements for treatment funding, those of us in #harmreduction waited in bated breath for some indication about the fate of supervised consumption services (SCS) in #Alberta.
While the SCS chatter didn’t start until after the announcements, the government’s continued negative attitude towards the service was in full force.

‘Those addictions counsellors, they’re the real heroes’

‘Those of you who got clean and stayed clean, you’re the real heroes’
Read 19 tweets
Jan is #HumanTrafficking awareness month. I am a violence prevention professional, have been a crisis advocate for decades, am a sexual health educator, & also happen to be a former sex worker. Some of my SW was consensual, some out of circumstance, some coerced/trafficked.
I don’t publicly “share my story,” as I find that whole concept to be othering, exploitative, sensationalizing, & inherently/recklessly keeping people stuck in their trauma. I do provide professional feedback & guidance that blends my professional expertise & lived experience.
So I don’t share details of my experience in a linear narrative publicly for other people’s education, edification, or mobilization, bc I think that’s a gross thing to ask a survivor of exploitation to do. I do sometimes weave bits of my experience into my public work as relevant
Read 39 tweets
Everyone: we need more activism in this #overdose crisis.

*Jess asks for help

Everyone: *crickets

#Calgary wake up! This person is trying to help your community and is doing all of the leg work!

#yyc twitter champions, can we get some traction on this cause?
#ABLeg #ABpoli
#Calgary has been significantly impacted by the overdose crisis in Canada—in fact this city has, year over year, been the most impacted out of all #Alberta municipalities.
This awesome human (@_Jessica______M) is trying to augment #hamreduction services in this community and could use some help.

She needs help finding a space—she also needs some funding. In a time when your #UCP government is freezing funding for pending sites, anything will help.
Read 5 tweets
1/“Criminalizing ppl who use drugs doesn’t just fail to make [them] safer & healthier, it makes them sicker & more likely to overdose in the shadows.” Read my new @Salon op-ed w/ @Louise_Arbour & Dr. Geoff Gallop of @globalcdp on #HarmReduction strategies salon.com/2019/10/19/its…
@Salon @louise_arbour @globalcdp 2/ While the US has been fighting a failed war on drugs, much of the rest of the world has chosen a different path – one grounded in public health responses over criminalization.
@Salon @louise_arbour @globalcdp 3/ “It is time for all nations to…embrace a new global vision for drug policy based on principles of harm reduction and respect of fundamental human rights, including the right to health care.” @globalcdp @UNITE_MPNetwork @SICAD_Portugal @DPA_NY
Read 3 tweets
Excited to share that our #GHB paper is now out in @AddictionJrnl.
With @RoseCrossin @foruharmoayeri @DebbieScott16 and team @TurningPointAU @MonashAddiction

bit.ly/GHBmeth
Trends in GHB‐related harms 2012‐2018 in Victoria
Spoiler alert, 147% rise
Highlights here->
What we did: looked at ambulance callouts for #GHB alone vs for co-use w other drugs (eg. #methamphetamine, #alcohol)
What we found: Overall #GHB presentations increased 147%, peaking in 2017 at 1339 callouts. This increase was largely driven by #GHB+#methamphetamine use together
#methamphetamine #ice co-use was >6x more likely to result in ambulance callouts than co-use with other drugs e.g. alcohol; and more #mentalhealth symptoms e.g. psychosis or anxiety.
Read 13 tweets
THREAD: As the evidence becomes increasingly clear that recent lung illnesses are caused by black market THC products, bans on flavored nicotine #vapor products are proving to be a misguided solution to this pressing issue (1/10)
E-cigarettes and other nicotine-related vapor products that consumers can buy in c-stores and #vape shops across the country are strongly regulated, with ingredient lists provided to @US_FDA (2/10)
Nicotine #vapor products have been tested repeatedly and shown no signs of the vitamin E compound found in illicit THC vapes believed to be the cause of these illnesses. FDA has been clear in warning consumers to stop vaping THC—not nicotine. (3/10)
Read 10 tweets
Tomm we start a journey at @ZuckerSoM w/ 3rd yr #MedicalStudents to enhance #Awareness #Education #Skills #Comfort #Hope re: #OpioidCrisis

13.5 hours - "#OpioidEpidemic" themed week (3rd iteration)

Follow/RT as Students, Colleagues, & I tweet - #OURcrisis

#MEDeD #RecoveryMonth
1️⃣0️⃣0️⃣ MS3 #Students

6️⃣0️⃣ Faculty/Facilitators

3️⃣0️⃣ Clinical/Non-Clinical Depts

#OURcrisis @ZuckerSoM

@GIMaPreceptor @DrYili @MartinsWelchMD @JoeCMD @medicmin911 @ektrenchard @ethanfried @ginofarina @LindaWDeMasi @AFornari1 @joemd @DrAhuja @santhoshpaulus6 @TomMcGinn4
#Strategic Full Circle
1. from Health System (need)
2. to School of #Medicine (access)
3. to Health System (access/mission)

Our #OpioidEpidemic themed week is part of a 30+hour 4-yr longitudinal 'Addressing #SubstanceUse' curriculum
#OURcrisis #MEDeD
🔗: sgim.org/File%20Library…
Read 28 tweets
Hi, I’ll be live-tweeting today’s Chicago Board of Health public meeting. #ChiDocumenters
@ChiDocumenters #publichealth #chicagopublichealth
@CHIdocumenters Dr. Arwady reviews high-level updates from the dept, including an anti-#syphillis campaign, a research study on Chicago maternal mortality (#maternitymatters) that will be released soon, and a new program that will provide assistance to #newmom s at 3 Chicago hospitals.
Dr. Arwady shares info about the new training video aimed at Chicago employees who work with youth, centers a #traumainformed approach to working with them.
Read 57 tweets
Wrote this piece with the help of a great team including @DrKevinHill. Below I'll share some of my thoughts about #opioids and opioid use disorder and how they present in #hpm and #palliative care, plus why we need to do a better job of addressing #addiction at end of life. 1/x
2/x Training in #KY gave me a front row seat to the #opioidcrisis. With an interest in #hpm I kept wondering what would happen to these individuals who developed an OUD and years later were prescribed opioids. How would I keep those patients safe and manage their pain?
3/x I continue to think that our field will struggle in years to come when survivors of the #opioidcrisis age, develop serious illness, and develop pain. Thinking about this, and reading @jeff_deeney article in @TheAtlantic theatlantic.com/health/archive… made me want to do more.
Read 13 tweets
Over half way through the year and, at long last, Alberta Q1 2019 opioid reporting is made available. Let’s have a look at the stats shall we?

#abpoli #AbLeg

alberta.ca/opioid-reports…
“There continues to be a high number of accidental fentanyl related poisoning deaths in the province,
however, the number in the most recent quarter is comparatively less than the previous.”

Sounds like the harm reduction and overdose response initiatives are helping.
This begs the question, if we are in fact seeing a decline in overdose deaths, why are we pausing these services in communities that clearly still need them?

Now is not the time defund, delay, or discontinue supervised consumption services.
Read 10 tweets
This is my son. He is three months old and completely healthy. We adopted him from his birth mother who chose us. She also did everything she could to make sure that he was as healthy as she could. That means she was on methadone during her pregnancy. 1/?
That means he was born with an addiction to opiates. We worked with medical professionals to taper him safely off of the morphine he was prescribed. Without safe access to opiates being administered safely under the supervision of professionals, he would likely have died 2/?
He was given his last dosage two days ago. He is happy and healthy and I love him so much that my heart feels as though it could burst. He is alive today due to #harmreduction and today I’m reading about @jkenney acting to restrict access for people, the same access as my son 3/?
Read 4 tweets

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